Malleostapedotomy: Recent Innovations and Surgical Outcomes

This article presents outcomes with a self-crimping angulated malleostapedotomy piston and reviews recent published advancements relevant to MS surgery.Recent FindingsExcellent results are reported with a self-crimping angulated nitinol piston including AB gap closure<  20 dB in the majority of cases and<  10 dB in many cases. Innovations in surgical technique include consideration for shifting the crimp site to the malleus neck, possible repositioning of the malleus, and use of an endoscope. Prosthesis sizing may be optimized by specialized instruments or preoperative 3D radiologic imaging.SummaryMalleostapedotomy remains a viable option for management of stapes fixation when traditional incus-grip techniques are not possible. Ongoing innovation in technique and prosthesis may further advance hearing outcomes in to the future.

Source: Current Otorhinolaryngology Reports - January 9, 2020 Category: ENT & OMF Source Type: research